Rutherford County TN

INSURANCE & RISK MANAGEMENT

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2019 CIGNA Wellness Screening Form
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303 North Church Street • Suite 100
Murfreesboro, TN 37130
Phone: (615) 898-7715
Fax: (615) 867-4602
M-F 8:00AM - 4:30PM

Benefits

Medical Dental VisionDisability Life Insurance

Flexible Spending AccountsOn-Site Clinics Assistance Program Voluntary Insurance Plans


2019 New Employee Benefits Guide

Dependent Eligibility Definitions and Required Documents

Dependent Child Certification Affidavit (ages 19 up to 25 for Dental and/or Vision benefits)

Spousal Healthcare Eligibility Affidavit

Spousal Healthcare Eligibility Affidavit FAQs


Rutherford County Government is committed to providing employees and their eligible family members a comprehensive, cost effective and affordable benefits package. The benefits offered to employees are designed to allow employees a choice of plans that will meet their specific needs and individual circumstances. Programs have been integrated into the plans to promote, encourage and support healthy lifestyles. Premiums for the Medical, Dental and Vision plans are deducted pre tax subject to Section 125 of the IRS code.

You have 30 calendar days to notify Insurance and Risk Management if you have a qualifying Life Event. You will be required to provide proof of the Life Event and eligibility documentation in order to add a member to insurance benefits. Click on the link below to view a list of qualifying Life Events.

Eligible Life Event Rules

To request a change to benefits due to a Qualifying Life Event, contact a Benefit Specialist in the Insurance and Risk Management Department at (615) 898 - 7715.              

For 2019 plan provisions and details regarding a medical, dental or vision benefit, click on the links below.


Summary of Benefits and Coverage
Benefit Summary

 Medical: HRA
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 Medical: CoPay
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 Medical: Deductible
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 Dental: Option 1
not applicable
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 Dental: Option 1 BuyUp
not applicable click to open
 
 Dental: Option 2
not applicable click to open  
 Dental: DHMO
not applicable click to open  
 Vision not applicable click to open  
 Retiree: Pre 65 CoPay
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 Retiree: Pre 65 Deductible
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 Retiree: Post 65
not applicable
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